SUMMARY:

• Around 5 Years of IT industry experience in Quality Assurance Methodologies.
• Strong experience in developing Test Plans, Test Cases, Test Scripts and Traceability Matrix from Requirements and Use Cases
• Experience in performing Integration, System, Functionality, GUI, User Acceptance (UAT), Regression and Smoke Testing.
• Worked independently and collaborated in teams with effective, multi - tasking, critical-thinking, communication and documentation capabilities
• Experienced in EDI Transactions (834, 837,835,270,271,276,277,997).
• Experienced with EPIC SOFTWARE SUITE (Resolute HB/PB, Tapestry AP Claims, Cadence, ADT, Ambulatory, HOD, HIM, ASAP ED, Prelude, ClinDoc, Optime, Pharmacy, Inpatient, Outpatient, Self-Funded and Clarity Reports).
• Experienced with HIPAA transactions and maintained HL7 Standards EDI Transactions
• Knowledge of multiple RDBMS (Oracle, DB2, SQL Server, MS Access) & ODBC concepts
• Ability to test backend applications by writing Complex SQL Queries
• Expertise in documentation using MS-Office Tools (Word, Excel and PowerPoint)
• Experience in entire SDLC and QA life Cycle
• Good experience with Health care and Pharma testing.
• Knowledge in software engineering standards like CMM, Agile/Scrum and RUP
• Ability to work effectively while working as a team member as well as individually
• Excellent communication and interpersonal skills.

TECHNICAL SKILLS:

Operating Systems: UNIX, MS-DOS, MVS, MS-Windows 95/98/NT/00, MVS.

Testing Tools: Rational Suite of Tools, Mercury Tools and HP.

Languages: C, C++, J2EE, SQL, PL-SQL, COBOL, JCL, Perl.

Development Tools: VBScript, JavaScript, VB, Power Builder, Tibco tools, XML, XML SPY.

Database: MS Access, SQL Server, Oracle, DB2

Packages: MS-OFFICE (Documentation Packages), Lotus Notes

Hardware Platforms: IBM, HP, Solaris, PC Compatibles

PROFESSIONAL EXPERIENCE:

Confidential, Beaverton, OR

Sr. QA Tester/ Mainframe Tester

Responsibilities:

• Consulting as Workflow Integration Tester to test the application for a recent Claim Portal change for the NW region. Completed the In-house EPIC Tapestry 2014 Core and Tapestry 2014 Claims & Contracts training.
• Analyzing the impact and determining test scenarios, cases and data requirements for validation after SIT and before UAT kicks-in.
• Core responsibility for the EDI X12 Intake transactions (837 Claims, 270/271 Eligibility Request Response & 835 Remittance Advices) and Paper Intake workflows.
• Tested the CICS (Mainframe) Screens.
• Tested the online and batch programs.
• Working closely with SIT Leads and from Business teams to gather requirements and perform Gap Analysis with teams from other regions and SMEs.
• Deriving test scenarios and mapping them back to requirements to ensure adequate coverage. Also, discuss the scenarios with the business team by providing walkthroughs as needed
• Tested the CICS screens.
• Worked with JCL jobs.
• Validated the data on Mainframes (DB2).
• Validated Professional and Hospital Billing 837 electronic claims, 835 Remittance files in Health Connect Resolute.
• Driving the offshore team towards test case creation in QC/ALM and ensuring quality deliverables.
• Working with the environment setup teams to ensure the stability of the test environment. Log defects, if sanity tests are failing and discuss the issues with the environment and development teams
• Experienced in Resolute Billing (Professional/Hospital) and Tapestry Claims.
• Managed defects: record defects, track defects, update status of defects, and distribute defect report on a regular basis using Quality Center/ALM.
• Conduct Tiger Team meetings with the stakeholders to provide status update, discuss roadblocks (which may lead to schedule delays) and summarize the next steps.
• Log defects and triage them with the AppDev and environment teams to track progress and provide status to the management, in case of schedule impacts.

Environment: Health Connect EIPC Suite, Tapestry, Common Membership (CM), ETL, Mainframe, SQL server, Quality Center, ALM, Team Foundation Server (TFS), Windows.

Confidential, Glen Burnie, Maryland

Sr. QA Tester

Responsibilities:

• Involved in Requirements review and Design review to provide review comments with respect to testing.
• Developed Test Plan, Test Cases, Test Scripts and Test Strategy documents.
• Developed and Maintained test cases and Test scripts in Quality Center/ALM.
• Validate the data on Mainframes (DB2).
• Create test data using File-Aid
• Created the Traceability matrix between requirements and Test Cases.
• Maintained Traceability Matrix to map with defects with test cases and test cases with Functional specs.
• Prepared the test data for different scenarios like Medicaid, Medicare and for functionality of the application.
• Performed different type of testing like, Functional Testing, Sanity Testing, Regression and data driven testing.
• Verified the 834 flat files for Open Enrollment and SEP for different scenarios.
• Verified the EDI 834 flat files for New, Change, Termination & Cancellation and Re-enrollment for new Enrollment period of 2015
• Worked on very complex and large web based application (portal) testing built on Java, Web-sphere (presentation layer), DB2 LUW (backend database) and middleware (web-services, API calls testing using SOAP UI)
• Tested TSO/ISPF Applications.
• Created and modified test data using File-Aid.
• Provided proper feedback to team regarding test cases or scenarios for different scenarios.
• Validated different loops and segment of Enrollment & Maintenance (834) generated for different scenarios.
• Verified the Inbound and Outbound 834 generated for CHP, Medicaid, APTC and QHP flavors scenarios.
• Executed and Validated Test Cases for Benefits and Enrollment applications.
• Tracked and Maintained Defects in Ration Team Concert (RTC).
• Interacted with Developers, BA and other Project Team members on daily basis.
• Tested and Validated ANSI X12 EDI 834 for Benefits and Enrollment.
• Conducted Functional, Integration, Regression, GUI, UAT, System and Smoke Testing
• Wrote SQL Queries and SQL Statements to validate database integrity.

Environment: Java, J2EE, HP Quality Center, Mainframes, ALM, Rational suite, SQL, Oracle, TOAD, XML Spy, SOAP, MS Office.

Confidential, Denver, Colorado

Sr. QA Tester/ Mainframe Tester

Responsibilities:

• Developed Test Plans, Test Cases and Test Scripts, Test data, Test Summary Reports.
• Followed Agile/Scrum process throughout the SDLC.
• Coordinated daily Scrum Meetings, Calls and Sprint Retrospectives.
• Conducted Functional, Integration, System, Regression, Smoke, Positive and Backend Testing.
• Test case Management was done using HP ALM.
• Generated and Analyzed various Graphs and Reports in HP ALM.
• Developed Test Plan, Test Strategy, Test Cases and Test Scripts for multiple projects ICD-10, OBAMACARE, Facets upgrade and EDI Transactions.
• Tested the Manual claims, pended claims and Multiplan claims.
• Tested Web services in Workstation which gets data from various Endpoints like Provider, Subscriber and Claim history.
• Developed Test Cases and Test Scripts for Web Services, SOA and XML applications using SOAP UI.
• Participated in testing various interfaces (Inbound and Out bound) of Facets
• Validated the Membership Portals.
• Bypass Pended Medical and Hospital Claims and Dental claims as per the PCA Criteria.
• Validated messages (General Inquiry, Informational and Claim Status) in Host and Home
• Writing and execution of Test cases for Facets application.
• Tested the Member/Subscriber, Provider and claims in Facets.
• Involved in Status calls, Business and Technical design meetings
• Created data and Tested reports generated for Facets customer service application.
• Worked with Medicare, Medicaid and Vision claims.
• Analysis, Project planning, Status reporting, document review and defect entry verification
• Tested the Rendering provider and billing provider claims.
• Tested the Dental pre-determination claims.
• Validated the user profiles and single sign on for web application portals.
• Performed ETL Data Validation using Informatica Power Center.
• Prepared test data and ETL Mappings using Informatica Power Center.
• Worked with SQL to retrieve the data from different target databases.
• Tested daily batch jobs, batch process testing, ETL jobs testing.
• Wrote SQL statements to extract data from the Tables.
• Extensively used SQL programming in backend and front-end functions, procedures, packages to implement business rules and security
• Wrote extensive PL/SQL and T-SQL queries to validate conversion of data from the source warehouse tables to target tables.
• Tested the various actions on claims like Pending Denying, Resolving Exception, Splitting claims etc.
• Prepared Test data for Performance team.
• Tracked Defects and prepared Defect reports using HP ALM.
• Used HP ALM for managing the defect flow.

Environment: HP ALM 11.0, QTP, XML SPY, XML Schema, SOAP, SOAP UI, Informatica Power Center, Business Objects, Oracle, TOAD, SQL, PL/SQL, SQL Developer, Trizetto Facets 5.01, Unix, Tibco, MS-Office, Windows NT/XP, MQ Series.

Confidential

QA Tester

Responsibilities:

• Executed nightly automation and analyzed results. Submitted defects based on the analysis and followed up until closure. 
• Performed stress testing and mean time before failure (MTBF) testing on AR System server using in-house built tools. Prepared and presented testing reports. 
• Performed server group testing using hardware load balancer.
• Created and executed test cases for new features on few major and minor releases of AR System server. I also updated/extended test cases for legacy features. 
• Automated test cases using C# automation framework and SilkTest for new features and existing features. Automated customer found defects. 
• Created and executed test cases for Remedy Email Engine, Approval Server, and Assignment Engine products. 
• Maintained and developed nightly install scripts.

Environment: Java, JSP, Struts, Tiles Servlet, Eclipse, XML and XSL.